Last updated: June 9, 2017
| CMS Measure ID: | CMS139v6 |
|---|---|
| Version: | 6 |
| NQF Number: | 0101 |
| Measure Description: |
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period |
| Initial Patient Population: |
Patients aged 65 years and older with a visit during the measurement period |
| Denominator Statement: |
Equals Initial Population |
| Denominator Exclusions: |
Exclude patients who were in hospice care during the measurement year. Exclude patients who were assessed to be non-ambulatory during the measurement period. |
| Numerator Statement: |
Patients who were screened for future fall risk at least once within the measurement period |
| Numerator Exclusions: |
Not Applicable |
| Denominator Exceptions: |
None |
| Measure Steward: | National Committee for Quality Assurance |
| Domain: | Patient Safety |
| Previous Version: | Falls: Screening for Future Fall Risk |
| Improvement Notation: |
A higher score indicates better quality |
| Guidance: |
None |
Specifications
CMS139v6_0.html
CMS139v6_0.xml- CMS139v6_SimpleXML_0.xml
EP_EC_CMS139v6_NQF0101_Falls_Screening_0.zip
CMS139v6_TRN_05.05.17_0.xlsx
Release Notes
Header
Incremented eMeasure Version number.
Section: eMeasure Version number
Source: Measure Lead
Updated Copyright.
Section: Copyright
Source: Annual Update
Updated Disclaimer.
Section: Disclaimer
Source: Measure Lead
Updated the exclusion statement in the header to exclude patients in hospice care from the Denominator. Measures that focus on screenings and procedures may not be appropriate or a priority for those who are at end of life (ie, on hospice).
Section: Denominator Exclusions
Source: Measure Lead
Modified the Denominator Exceptions to be Denominator Exclusions to simplify extraction for implementers.
Section: Denominator Exclusions
Source: Measure Lead
Removed documentation of medical reason for not conducting a falls screening from Denominator Exclusions because the 'Patient Not Ambulatory' value set covers this requirement.
Section: Denominator Exclusions
Source: Measure Lead
Modified the Denominator Exceptions to be Denominator Exclusions to simplify extraction for implementers.
Section: Denominator Exceptions
Source: Measure Lead
Logic
Added new lines of logic to the Denominator Exclusions for all NCQA-stewarded measures (except CMS82) to ensure patients in hospice care are excluded from the Denominator.
Section: Denominator Exclusions
Source: Measure Lead
Modified the Denominator Exceptions to be Denominator Exclusions to simplify extraction for implementers.
Section: Denominator Exclusions
Source: Measure Lead
Removed lines of logic from Denominator Exclusions that referred to documentation of medical reason for not conducting falls screening. The ‘Patient Not Ambulatory’ criteria covers the measure requirement.
Section: Denominator Exclusions
Source: Measure Lead
Replaced 'Risk Category Assessment' datatype with 'Assessment, Performed' datatype to conform with QDM 4.3 changes.
Section: Numerator
Source: QDM Standards
Modified the Denominator Exceptions to be Denominator Exclusions to simplify extraction for implementers.
Section: Denominator Exceptions
Source: Measure Lead
Value Set
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets.
Value set Encounter Inpatient (2.16.840.1.113883.3.666.5.307): Added Encounter Inpatient.
Section: None
Source: None
Value set Hospice care ambulatory (2.16.840.1.113762.1.4.1108.15): Added Hospice care ambulatory.
Section: None
Source: None
Value set Discharged to Health Care Facility for Hospice Care (2.16.840.1.113883.3.117.1.7.1.207): Added Discharged to Health Care Facility for Hospice Care.
Section: None
Source: None
Value set Discharged to Home for Hospice Care (2.16.840.1.113883.3.117.1.7.1.209): Added Discharged to Home for Hospice Care.
Section: None
Source: None
Value set Medical Reason (2.16.840.1.113883.3.526.3.1007): Removed Medical Reason.
Section: None
Source: None